{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T12:40:59Z","timestamp":1783341659585,"version":"3.54.6"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82102723"],"award-info":[{"award-number":["82102723"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82373335"],"award-info":[{"award-number":["82373335"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004608","name":"Natural Science Foundation of Jiangsu Province","doi-asserted-by":"publisher","award":["BK20231372"],"award-info":[{"award-number":["BK20231372"]}],"id":[{"id":"10.13039\/501100004608","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Robotic surgeries offer technical advantages over laparoscopic surgery, including enhanced precision and ergonomics. However, optimal utilisation requires overcoming the \u2018carryover effect\u2019 of laparoscopic habits and adapting techniques to the robotic platform's unique capabilities. Here we introduce an approach regarding robotic gastrectomy, focusing on instrument selection and lymphadenectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This technical report synthesises our experience with robotic gastrectomy. Key innovations include: (1) preferential use of Maryland bipolar forceps for lymphadenectomy; (2) a robotic\u2010specific lymphadenectomy sequence prioritising gravity\u2010assisted exposure; and (3) intracorporeal hand\u2010suturing anastomosis to minimise stapler dependence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The Maryland bipolar forceps enabled safer dissection with reduced thermal injury risk. The proposed lymphadenectomy sequence (initiating with cardia mobilisation and concluding with infrapyloric dissection) improved field consolidation and reduced instrument repositioning. Robotic suturing achieved satisfied anastomotic integrity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A deliberate transition from laparoscopic to robotic techniques optimises outcomes in the robotic era. This framework may accelerate the learning curve for novice robotic surgeons.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rcs.70152","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T06:09:41Z","timestamp":1773209381000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Optimising Robotic Radical Gastrectomy: A Technical Roadmap for Bipolar Forceps\u2010Assisted Lymphadenectomy and Reconstruction"],"prefix":"10.1002","volume":"22","author":[{"given":"Fengyuan","family":"Li","sequence":"first","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing Jiangsu China"},{"name":"Gastric Cancer Center The First Affiliated Hospital of Nanjing Medical University  Nanjing China"},{"name":"Collaborative Innovation Center for Cancer Personalized Medicine School of Public Health Nanjing Medical University  Nanjing China"},{"name":"Jiangsu Key Lab of Cancer Biomarkers, Prevention and Treatment Jiangsu Collaborative Innovation Center for Cancer Personalized Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9316-9601","authenticated-orcid":false,"given":"Zhongyuan","family":"He","sequence":"additional","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing Jiangsu China"},{"name":"Gastric Cancer Center The First Affiliated Hospital of Nanjing Medical University  Nanjing China"},{"name":"Collaborative Innovation Center for Cancer Personalized Medicine School of Public Health Nanjing Medical University  Nanjing China"},{"name":"Jiangsu Key Lab of Cancer Biomarkers, Prevention and Treatment Jiangsu Collaborative Innovation Center for Cancer Personalized Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weizhi","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing Jiangsu China"},{"name":"Gastric Cancer Center The First Affiliated Hospital of Nanjing Medical University  Nanjing China"},{"name":"Collaborative Innovation Center for Cancer Personalized Medicine School of Public Health Nanjing Medical University  Nanjing China"},{"name":"Jiangsu Key Lab of Cancer Biomarkers, Prevention and Treatment Jiangsu Collaborative Innovation Center for Cancer Personalized Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine The First Affiliated Hospital of Nanjing Medical University  Nanjing Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhe","family":"Xuan","sequence":"additional","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing Jiangsu China"},{"name":"Gastric Cancer Center The First Affiliated Hospital of Nanjing Medical University  Nanjing China"},{"name":"Collaborative Innovation Center for Cancer Personalized Medicine School of Public Health Nanjing Medical University  Nanjing China"},{"name":"Jiangsu Key Lab of Cancer Biomarkers, Prevention and Treatment Jiangsu Collaborative Innovation Center for Cancer Personalized Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linjun","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing Jiangsu China"},{"name":"Gastric Cancer Center The First Affiliated Hospital of Nanjing Medical University  Nanjing China"},{"name":"Collaborative Innovation Center for Cancer Personalized Medicine School of Public Health Nanjing Medical University  Nanjing China"},{"name":"Jiangsu Key Lab of Cancer Biomarkers, Prevention and Treatment Jiangsu Collaborative Innovation Center for Cancer Personalized Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zekuan","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing Jiangsu China"},{"name":"Gastric Cancer Center The First Affiliated Hospital of Nanjing Medical University  Nanjing China"},{"name":"Collaborative Innovation Center for Cancer Personalized Medicine School of Public Health Nanjing Medical University  Nanjing China"},{"name":"Jiangsu Key Lab of Cancer Biomarkers, Prevention and Treatment Jiangsu Collaborative Innovation Center for Cancer Personalized Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5977-9130","authenticated-orcid":false,"given":"Hongda","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing Jiangsu China"},{"name":"Gastric Cancer Center The First Affiliated Hospital of Nanjing Medical University  Nanjing China"},{"name":"Collaborative Innovation Center for Cancer Personalized Medicine School of Public Health Nanjing Medical University  Nanjing China"},{"name":"Jiangsu Key Lab of Cancer Biomarkers, Prevention and Treatment Jiangsu Collaborative Innovation Center for Cancer Personalized Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing Jiangsu China"},{"name":"Gastric Cancer Center The First Affiliated Hospital of Nanjing Medical University  Nanjing China"},{"name":"Collaborative Innovation Center for Cancer Personalized Medicine School of Public Health Nanjing Medical University  Nanjing China"},{"name":"Jiangsu Key Lab of Cancer Biomarkers, Prevention and Treatment Jiangsu Collaborative Innovation Center for Cancer Personalized Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/10929088.2010.541620"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15986"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000351688.64999.73"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2016.05.017"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/js9.0000000000001061"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0090\u20104295(02)01717\u2010x"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010018\u20106473\u20109"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10120\u2010023\u201001389\u2010y"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10120\u2010022\u201001288\u20108"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina58060834"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605\u2010022\u201005527\u20102"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2024.03.013"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010021\u201008322\u20103"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12957\u2010024\u201003388\u20104"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers16091708"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2025.109640"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v16.i11.3413"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/00031348241246275"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010023\u201010021\u20100"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010023\u201006972\u2010z"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010022\u201002692\u20105"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2023.107092"}],"container-title":["The International Journal of Medical Robotics and Computer Assisted Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcs.70152","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/rcs.70152","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcs.70152","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T11:23:27Z","timestamp":1777289007000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcs.70152"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,10]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/rcs.70152"],"URL":"https:\/\/doi.org\/10.1002\/rcs.70152","archive":["Portico"],"relation":{},"ISSN":["1478-5951","1478-596X"],"issn-type":[{"value":"1478-5951","type":"print"},{"value":"1478-596X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,10]]},"assertion":[{"value":"2025-05-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70152"}}